NAME

ADDRESS

HOME PHONE

CELL PHONE

EMAIL ADDRESS

HAVE YOU EVER OWNED A DOG?

Yes No

IF SO, WHEN AND WHAT TYPE OF DOG(S)?

DOES EVERYONE WHO RESIDES IN YOUR HOME WANT A LABRADOODLE?

WHAT SIZE AUSTRALIAN LABRADOODLE ARE YOU INTERESTED IN

Minature (15 - 30 lbs) Medium (30 - 45 lbs) Standard (45-60 lbs)

DO YOU HAVE A GENDER PREFERENCE?

Female Male No Preference

DO YOU HAVE A PREFERENCE IN DESIRED COLOR?

DOES ANYONE IN YOUR HOUSEHOLD SUFFER FROM DOG RELATED ALLERGIES OR ASTHMA?

ARE THERE CHILDREN IN YOUR HOUSEHOLD?

Yes No

IF SO, WHAT ARE THEIR AGES?

ARE THERE ANY OTHER ANIMALS THAT SHARE YOUR HOME?

DO YOU OWN YOUR OWN HOME?

Yes No

IS YOUR YARD FENCED? IF NO, WHAT IS YOUR PLAN TO KEEP YOUR DOG SAFE WHEN OUTDOORS?

DO YOU PLAN TO CRATE TRAIN YOUR DOG?

Yes No

HOW MANY HOURS DURING THE DAY WILL YOUR DOG BE LEFT ALONE?

WHAT WORD BEST DESCRIBES YOUR LIFESTYLE?

Quiet Somewhat Active Active

DO YOU PLAN ON TAKING YOUR PUPPY FOR OBEDIENCE TRAINING?

Yes No

IF SO, DO YOU HAVE A CHOSEN METHOD OF TRAINING? (ie. FOOD BASED, CLICKER COLLAR, POSITIVE DISCIPLINE, ETC.)

SIGNATURE:
(Entering your name in the this field serves as your signature)

TODAY'S DATE: